Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl
Preferences help
Polish version English version Language
enabled [disable] Abstract
Number of results

Results found: 3

Number of results on page
first rewind previous Page / 1 next fast forward last

Search results

Search:
in the keywords:  postoperative care
help Sort By:

help Limit search:
first rewind previous Page / 1 next fast forward last
1
Content available remote

Changes in fatigue and physical function following laparoscopic colonic surgery

100%
Jensen M. B., Nørager C. B., Sommer T., Madsen M. R., Laurberg S.
Polish Journal of Surgery
|
2015
|
vol. 86
|
issue 2
82-88
EN
The aim of the study was to describe changes in postoperative fatigue, quality of life, physical performance, and body composition in patients undergoing laparoscopic colonic cancer surgery. Material and methods. In a follow-up study from 2009-2011 at two regional hospitals in Denmark we examined 62 patients having a right hemicolectomy ora sigmoid resection performed. The main outcome measures were fatigue level subjectively scored from 1 (“fit”) to 10 (“fatigued”) on a modified visual analogue scale and by objective measurements of hand grip and knee extension strength, work capacity, weight, and lean body mass. Quality of life was assessed using the SF-36 questionnaire and pain using an ordinal scale. Patients were examined preoperatively, 1-2 and 4 weeks postoperatively. Results. Eight patients (13%) were converted to open surgery and the median bleeding (95% confidence interval of the median) was 75 (50-100) ml. One to two weeks after surgery the fatigue level and pain when moving had increased significantly (p=0.0011 and p=0.0002 respectively) and the SF-36 physical component quality of life score decreased (p<0.0001) when compared to preoperatively. However, at 4 weeks postoperatively fatigue level, pain, and quality of life scores were at the preoperative level. There were no significant changes from preoperatively to postoperatively in any of the measures of physical performance, whereas there was a slight reduction in weight and lean body mass after the operation. Conclusions. Laparoscopic colonic cancer surgery was associated with a short lasting increased fatigue and pain and reduced quality of life, but no significant reduction in physical performance after surgery.
2
Publication available in full text mode
Content available

The use of the enhanced recovery after surgery (ERAS) protocol in patients undergoing laparoscopic surgery for colorectal cancer – a comparative analysis of patients aged above 80 and below 55

75%
Pędziwiatr M., Pisarska M., Wierdak M., Major P., Rubinkiewicz M., Kisielewski M., Matyja M., Lasek A., Budzyński A.
Polish Journal of Surgery
|
2015
|
vol. 87(11)
565-572
EN
Age is one of the principal risk factors for colorectal adenocarcinoma. To date, older patients were believed to achieve worse treatment results in comparison with younger patients due to reduced vital capacity. However, papers have emerged in recent years which confirm that the combination of laparoscopy and postoperative care based on the ERAS protocol improves treatment results and may be particularly beneficial also for elderly patients. The aim of the study was to compare the outcomes of laparoscopic surgery for colorectal cancer in combination with the ERAS protocol in patients aged above 80 and below 55. Material and methods. The analysis included patients aged above 80 and below 55 undergoing elective laparoscopic colorectal resection for cancer at the 2nd Department of General Surgery of the Jagiellonian University. They were divided into two groups according to their age: ≥80 years of age (group 1) and ≤55 years of age (group 2). Both groups were compared with regard to the outcome of surgery: length hospital stay, complications, hospital readmissions, degree of compliance with the ERAS protocol, and recovery parameters (tolerance of oral nutrition, mobilisation, need for opioids, restored gastrointestinal function). Results. Group 1 comprised 34 patients and group 2, 43 patients. No differences were found between both groups in terms of gender, BMI, tumour progression or surgical parameters. Older patients typically had higher ASA scores. No statistically significant differences were found with regard to the length hospital stay following surgery (5.4 vs 7 days, p=0.446481), the occurrence of complications (23.5% vs 37.2%, p=0.14579) or hospital readmissions (2.9% vs 2.4%). The degree of compliance with the ERAS protocol in group 1 and 2 was 85.2% and 83.0%, respectively (p=0.482558). Additionally, recovery parameters such as tolerance of oral nutrition (82.4% vs 72.1%, p=0.28628) and mobilisation (94.1% vs 83.7%, p=0.14510) within 24 hours of surgery did not differ among the groups. However, a smaller proportion of older patients required opioids in comparison with younger patients (26.5% vs 55.8%, p=0.00891). Conclusions. Similar levels of compliance with the ERAS protocol may be achieved among patients aged ≥80 and younger patients. When laparoscopy is combined with the ERAS protocol, age does not seem to be a significant factor that could account for worse utcomes. Therefore, older patients should not be excluded from perioperative care based on ERAS principles.
3
Content available remote

The Influence of Physical Activity on Physiotherapy Effects After Abdominal Surgery in Elderly People

63%
Czyżewski P., Domaniecki J., Dąbek A., Kopytiuk R.
Advances in Rehabilitation
|
2013
|
vol. 27
|
issue 3
1-8
EN
Introduction: Elderly people are at the higher risk of colon cancer. Most of them request surgery. Main goal of physiotherapy after major abdominal surgery (MAS) is prevention postoperative complications and reduction of functional limitation. Physical activity level and functional status are close connected for 65+ patients. Daily activity independence, mental efficiency and well-being depend on physical activity level of elderly people. The aim of this study was to determine the correlations between physical activity level, functional status and lung function of elderly people in early postoperative physiotherapy period. Material and methods : Prospective randomized study involved 34 patients scheduled for elective MAS, aged 65+. Patients were randomly assigned to receive PNF or conventional physiotherapy. The study included forced spirometry (FVC, FEV1, PEF) and functional tests (gait speed, up&go). Measurements were performed before surgery and the fourth day after surgery. Also analyzed age, sex, BMI and the level of postoperative independence (postoperative independence scale SAP). Training intensity and capacity was the same in both groups. Kolmogorow-Smirnow test was used to check normal distribution, t-Student was used to check whether two sets of data differ significantly, and r- Pearsons for correlations testing. P values <0.05 were considered significant. Results: After surgery the time of gait speed test and up and go test was significant longer in comparison to preoperative value. FVC%, FEV1%, PEF% values decreased. Level of physical activity had influence on results in evaluated tests of walking and lung ventilation. There was no significant changes after surgery to preoperative value for these measurements in high physical activity group. High active group had better results on SAP scale than low and middle activity group. Conclusions: MAS decrees efficiency of lung ventilation and walking after 65 year old in early postoperative period. High physical activity level patients scheduled for major abdominal surgery had positive impact on postoperative lung ventilation, ability and independence in walking in hospital period.
first rewind previous Page / 1 next fast forward last
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.